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TIBOLONE (Xyvion®) is a synthetic hormone. This drug is only used in women and has actions essential for maintaining normal female functions. Tibolone can help relieve symptoms of the menopause (hot flashes, night sweats, mood changes, and vaginal dryness and irritation). It can also help to prevent osteoporosis (a loss of bone mass, so that bones become brittle and easily broken). Generic tibolone tablets are not yet available.
NOTE: This drug is discontinued in the United States.
They need to know if you have any of these conditions:
blood vessel disease, blood clotting disorder, or suffered a stroke
breast, cervical, endometrial or uterine cancer
high blood lipids or cholesterol
high blood pressure
an unusual or allergic reaction to tibolone, other hormones, medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
Take tibolone tablets by mouth. Follow the directions on the prescription label. Swallow the tablet with a full glass of water. If this medicine upsets your stomach you can take the tablets with food. Take your doses at regular intervals; tibolone works best when taken at the same time each day. Do not take your medicine more often than directed.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
Visit your prescriber or health care professional for regular checks on your progress. You should have a complete check-up every 6 months. You will need a regular breast and pelvic exam and "Pap" smear while on tibolone therapy. You should also discuss the need for regular mammograms with your health care professional, and follow his or her guidelines for these tests.
Tibolone can make your body retain fluid, making your fingers, hands, or ankles swell. Your blood pressure can go up. Contact your prescriber or health care professional if you feel you are retaining fluid.
If you have any reason to think you are pregnant; stop taking tibolone at once and contact your prescriber or health care professional.
Tobacco smoking increases the risk of getting a blood clot or having a stroke while you are taking tibolone, especially if you are more than 35 years old. You are strongly advised not to smoke.
Side effects that you should report to your prescriber or health care professional as soon as possible:
breakthrough bleeding and spotting
leg, arm or groin pain
stomach pain (severe)
sudden shortness of breath
swelling of the hands, feet or ankles, or rapid weight gain
vision or speech problems
yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
increased or decreased appetite
mild stomach upset
mood changes, anxiety, depression, frustration, anger, or emotional outbursts
Keep out of the reach of children in a container that small children cannot open.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.